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New CMS 1500 Health Insurance Claim Form, HCFA Approved Version (02/12) - Form 500 New Health Insurance Claim Form, 2012 Approved Version
Part 1 8-1 / 2 "X 11" Laser Form CMS- 1500, red ink printing
health care providers need to reimburse patients' insurance companies
latest HCF/CMS 1500 claim form (approved OMB-0938-1197)
100 laser/inkjet print forms
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Orignal From: New CMS 1500 Health Insurance Claim Form, HCFA Approved Edition (02/12) - 500 Forms
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